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Contact Information

PAUL MATHERNE, M.D.
180B DEBUYS RD
SUITE #223
BILOXI, MS39531-4404
 Phone: 228-388-4862
 Fax: 228-388-2556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for PAUL MATHERNE, M.D.

NPI Number 1659479210
LBN Legal business name PAUL MATHERNE, M.D.
Authorized official PAUL MATHERNE - (OWNER/SOLO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 12/08/2015 - About 10 years ago
Identifiers
MS License # 09445
MS Medicaid 000018917
MS Other 437709303 BCBS OF MS/ BCBS OF ALA.
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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